About Us:
Here at Ambience, we never set out to be just another scribe. We’re building the AI intelligence platform that restores humanity to healthcare and drives meaningful ROI for health systems across the country.
Our technology helps providers focus on delivering great care by removing the administrative burden that pulls them away from patients and away from their most impactful work. Ambience delivers real-time coding-aware documentation and clinical workflow support across ambulatory, emergency and inpatient settings at the top health systems in North America.
Our teams operate relentlessly with extreme ownership to build the best solutions for our health system partners. We value candor, positivity and deep thought — and we expect a lot from each other because we know the problems we’re solving truly matter.
Ambience was ranked #1 for Improving the Clinician Experience in the KLAS Research Emerging Solutions Top 20 Report, recognized by Fast Company as one of the Next Big Things in Tech, named one of the best AI companies in healthcare by Inc., and selected as a LinkedIn Top Startup in 2024 and 2025. We’re backed by Oak HC/FT, Andreessen Horowitz (a16z), OpenAI Startup Fund, and Kleiner Perkins — and we’re just getting started.
The Role:
Ambience processes millions of patient encounters across the nation's largest health systems. These organizations trust us with real-time clinical workflows where latency and reliability directly impact patient care. A slow response during a patient visit isn't just a bad metric; it's a physician abandoning the tool.
You'll own the core systems that let Ambience scale reliably: database architecture, caching, multi-tenancy, and the performance optimization that determines whether our products feel fast or frustrating to clinicians. You'll design database architecture that handles our growth trajectory, build caching systems that keep EHR API latency out of critical paths, and create multi-tenant infrastructure that isolates customer data without sacrificing performance.
The goal: infrastructure that other teams depend on without thinking about it.
Our engineering roles are hybrid in our SF office (3x/week).
What You’ll Own:
- Database Architecture & Scaling — Own database performance end-to-end: query optimization, indexing strategy, connection management, capacity planning. Design multi-tenant data patterns that maintain performance while balancing isolation tradeoffs.
- Caching & Latency Optimization — Build caching infrastructure that keeps EHR API latency out of critical user paths. Identify and optimize hot paths across the application. Build instrumentation to catch performance regressions before they reach users.
- Rate Limiting — Design systems that respect EHR API rate limits while maintaining user experience. Build infrastructure that degrades gracefully under load: queue management, circuit breakers, load shedding.
- Reliability & Observability — Dashboards and alerting for database performance, cache hit rates, connection pool utilization, API latency by customer. Systematically identify and harden against failure modes: connection exhaustion, cache stampedes, thundering herds.
Who You Are:
- 7+ years in software engineering, 3+ focused on infrastructure, backend systems, or platform engineering
- Staff-level scope: owned cross-cutting infrastructure, debugged production issues that stumped others
- Strong backend fundamentals in Python, Go, TypeScript, or similar
- Deep experience with relational databases (Postgres preferred)
- Comfort reading code across the stack to trace performance issues
- Track record of diagnosing and solving scaling or reliability problems
- In SF, 3x/week in-person
Why Here:
Ambience powers real-time clinical workflows at the country's largest health systems. Latency and reliability directly impact whether physicians adopt the tool. This isn't theoretical scaling; it's infrastructure that matters.
Healthcare adds interesting constraints. Multi-tenancy has compliance implications. Caching patient data requires thinking about retention and access controls. Your infrastructure decisions have downstream security and privacy consequences.
We're growing rapidly across customers, encounters, and product surface area. The investments you make now will determine how smoothly we handle 10x growth. Small team, high trust, direct access to leadership. Staff engineers here shape technical direction, not just execute on it.
PAY TRANSPARENCY
We offer a base compensation range of approximately $250,000–$300,000 per year, exclusive of equity. This intentionally broad range provides flexibility for candidates to tailor their cash and equity mix based on individual preferences. Our compensation philosophy prioritizes meaningful equity grants, enabling team members to share directly in the impact they help create.
Outside of this range? We still encourage you to apply. We take an individualized approach to compensation that accounts for experience, scope, and the life factors that matter to each candidate.
Life at Ambience
Working at Ambience means opting into a high-ownership, high-trust environment built for people who want to grow fast, operate decisively and focus on work that matters. This could be the right place for you if you want to
- Work on mission-critical AI technology that directly improves clinicians’ day-to-day lives and health system financial health across some of the most complex, high-stakes workflows in the world.
- Join a “dream team” culture where we hire exceptional people, expect exceptional outcomes and invest deeply in feedback and continuous growth. We operate as a championship team, and that means being ok with hard, uncomfortable, ambiguous problems that lead to real greatness.
- Operate with real ownership and accountability in an environment where there are no bystanders: If something is broken, we fix it! You will have meaningful autonomy and be expected to drive work to completion.
To help you do your best work, we pair these expectations with benefits intentionally designed to help you feel supported and safe at Ambience and beyond. Some of our key benefits include
- Comprehensive medical, dental, and vision coverage for you and your dependents
- 401(k) with a company match of up to 3% of base salary
- A remote-friendly culture (with a San Francisco HQ) and full equipment provisioning to ensure you can work effectively from wherever you’re based.
- Parental leave to support your family needs
- Annual company-wide off-sites, team off-sites and regular team lunches and all-hands gatherings, with travel, lodging and meals covered
- Flexible time off with no annual cap, company-wide holidays and an annual holiday shutdown from December 24–January 1 designed to support real rest and long-term sustainability.
Ambience Healthcare is an equal opportunity employer and is committed to building a diverse and inclusive workplace. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, genetic information, or any other legally protected status. We encourage applicants from all backgrounds to apply.
Ambience is committed to supporting every candidate’s ability to fully participate in our hiring process. If you need any accommodations during your application or interviews, please reach out to our Recruiting team at accommodations@ambiencehealthcare.com recruiting@ambiencehealth.com. We’ll handle your request confidentially and work with you to ensure an accessible and equitable experience for all candidates.
Ambience Healthcare has become aware of scams targeting jobseekers with fake jobs and even interviewing people. Our emails will always come from @ambiencehealthcare.com. We would never our ask candidates to download apps or make any form of payment(s). If you are contacted through WhatsApp, Telegram, similar but fake email domains, or asked to make a payment, these contacts are not legitimate. Report the issue immediately to LinkedIn and the FBI https://www.fbi.gov/how-we-can-help-you/scams-and-safety.
Listed by Ambience Healthcare for a position based in the United States. Employers on this board attest they are hiring domestically.
Engineering
473 days ago
Engineering Manager, Product
Ambience Healthcare · San Francisco, California, United States
About Us:
Here at Ambience, we never set out to be just another scribe. We’re building the AI intelligence platform that restores humanity to healthcare and drives meaningful ROI for health systems across the country.
Our technology helps providers focus on delivering great care by removing the administrative burden that pulls them away from patients and away from their most impactful work. Ambience delivers real-time coding-aware documentation and clinical workflow support across ambulatory, emergency and inpatient settings at the top health systems in North America.
Our teams operate relentlessly with extreme ownership to build the best solutions for our health system partners. We value candor, positivity and deep thought — and we expect a lot from each other because we know the problems we’re solving truly matter.
Ambience was ranked #1 for Improving the Clinician Experience in the KLAS Research Emerging Solutions Top 20 Report, recognized by Fast Company as one of the Next Big Things in Tech, named one of the best AI companies in healthcare by Inc., and selected as a LinkedIn Top Startup in 2024 and 2025. We’re backed by Oak HC/FT, Andreessen Horowitz (a16z), OpenAI Startup Fund, and Kleiner Perkins — and we’re just getting started.
THE ROLE:
As a Staff Machine Learning Engineer at Ambience, you will help set the technical direction for the AI systems that power our clinical products. You’ll identify the highest-impact opportunities to improve model behavior, evaluation, post-training, and agentic systems, and lead the design and execution of cross-cutting initiatives.
This is a highly hands-on role with broad technical influence. You’ll work closely with clinicians, product managers, researchers, and engineers to translate cutting-edge research into reliable, production-grade AI systems.
Our engineering roles are hybrid — working onsite at our San Francisco office three days per week.
WHAT YOU’LL OWN:
- Define the AI Quality and Evaluation Strategy: Establish how we measure production AI quality across LLM and agentic systems, including automated graders, regression testing, human evaluation, failure taxonomies, and offline-to-online validation.
- Drive Production Model Improvement: Identify high-impact failure modes across products and lead improvements across prompting, retrieval, context, routing, data, and post-training. Design experiments that determine the right intervention and prove that improvements hold in production.
- Advance Post-Training Capabilities: Shape how Ambience uses techniques such as supervised fine-tuning, preference optimization, reinforcement learning, distillation, and synthetic data to improve model behavior.
- Architect Agentic AI Systems: Set technical direction for production systems involving tool use, retrieval, context and state management, routing, orchestration, tracing, and failure recovery.
- Build Self-Improving AI Loops: Design the systems that turn production failures and user feedback into better datasets, evaluations, and model behavior, creating scalable improvement flywheels across products.
- Shape the AI Roadmap: Co-develop the 12-month technical roadmap, balancing near-term product wins with longer-term research and platform investments.
- Raise the Technical Bar: Lead technical reviews, mentor engineers, establish best practices, and create reusable systems and frameworks that improve the effectiveness of the broader AI team.
- Stay at the Cutting Edge: Distill insights from recent research in LLMs, agents, post-training, NLP, speech, and multimodal AI, and drive experiments that keep Ambience at the forefront of clinical AI.
WHO YOU ARE:
- Expert in Production AI Systems
7+ years in production ML, research engineering, or applied AI.
Deep expertise with modern LLMs, transformers, and complex production AI systems.
Have led or materially shaped consequential AI systems with real production impact.
Able to reason across models, data, orchestration, evaluation, serving, and product behavior.
- Deep Evaluation Rigor
Significant experience designing evaluations for LLMs, agents, or other complex AI systems.
Can turn ambiguous product-quality problems into robust metrics, datasets, and experiments.
Experienced with grader bias, leakage, contamination, misleading aggregate metrics, regression detection, and offline-online mismatch.
Knows how to establish whether a model or system improvement actually translates into better user outcomes.
- Agentic Systems Expertise
Have built or architected production systems involving multiple models, tools, retrieval, context and state management, routing, orchestration, tracing, and failure recovery.
Understand how to evaluate and debug complex agent behavior across model, tool, and system boundaries.
Comfortable making architectural decisions that span multiple products or teams.
- Post-Training and Model Improvement Expertise
Have materially improved model behavior through post-training or model adaptation techniques such as supervised fine-tuning, preference optimization, reinforcement learning, distillation, synthetic data, or related approaches.
Understand how data quality, objective design, evaluation, and post-training choices affect downstream model behavior.
Know when post-training is the right intervention versus prompting, retrieval, context optimization, routing, or changes to the surrounding system.
Have taken model improvements from experimentation through rigorous evaluation and production deployment.
- Production-Grade Software Engineer
Proficient in Python and modern ML frameworks; PyTorch preferred.
Comfortable with modern MLOps, CI/CD, observability, and containerized deployments.
Remains deeply hands-on: writes code, inspects traces, analyzes failures, and prototypes solutions.
- Data-Centric AI Developer
Skilled at building large, high-quality datasets and feedback loops.
Experienced using production failures, user feedback, and active learning to improve model and system quality.
Able to design data and evaluation infrastructure that creates leverage across multiple teams.
- Effective Technical Leader
Able to work closely with clinicians, product managers, researchers, and engineers.
Strong communicator who can simplify complex AI concepts and build alignment around technical decisions.
Comfortable operating in ambiguity, identifying the right problems to solve, and driving execution across multiple workstreams.
- Mission-Aligned
Passion for healthcare or other mission-driven industries.
Thrives in a fast-paced, early-stage environment.
Takes broad ownership of technical outcomes and raises the effectiveness of the people around them.
Nice-to-Haves
- Experience with realtime voice, conversational AI, or multimodal systems.
- Prior work in healthcare, clinical AI, or other regulated, high-stakes industries.
- Experience interviewing or hiring ML engineers.
- Open-source contributions to ML, agent, evaluation, or post-training tooling.
WHY HERE:
Our products power specialty-specific note generation, chart-aware diagnosis prediction, and real-time clinical decision support in real clinical settings. The work is deeply technical, but the goal is simple: help clinicians do great work with less friction.
To keep improving, we can't wait around for bigger models. The fastest path is building intelligence that gets better with every encounter — learning from how clinicians actually use the products, what they change, and what outcomes follow.
You will own the hardest model quality problems across our clinical AI suite: coding models that navigate a proprietary million-term ontology with multi-objective precision, a scribe that learns from edit signals without introducing regressions, long-context chart understanding that stays faithful under real clinical complexity, and population-level reasoning that surfaces patterns across patients in a way that's auditable and actionable.
This is not applied ML on clean benchmarks — it's research-grade model work with production stakes, where your improvements directly shape what clinicians experience every day.
Compensation
We offer a base compensation range of approximately $250,000-350,000 per year, exclusive of equity. This intentionally broad range provides flexibility for candidates to tailor their cash and equity mix based on individual preferences. Our compensation philosophy prioritizes meaningful equity grants, enabling team members to share directly in the impact they help create.
Are you outside of the range? We encourage you to still apply: we take an individualized approach to ensure that compensation accounts for all of the life factors that matter for each candidate.
Life at Ambience
Working at Ambience means opting into a high-ownership, high-trust environment built for people who want to grow fast, operate decisively and focus on work that matters. This could be the right place for you if you want to
- Work on mission-critical AI technology that directly improves clinicians’ day-to-day lives and health system financial health across some of the most complex, high-stakes workflows in the world.
- Join a “dream team” culture where we hire exceptional people, expect exceptional outcomes and invest deeply in feedback and continuous growth. We operate as a championship team, and that means being ok with hard, uncomfortable, ambiguous problems that lead to real greatness.
- Operate with real ownership and accountability in an environment where there are no bystanders: If something is broken, we fix it! You will have meaningful autonomy and be expected to drive work to completion.
To help you do your best work, we pair these expectations with benefits intentionally designed to help you feel supported and safe at Ambience and beyond. Some of our key benefits include
- Comprehensive medical, dental, and vision coverage for you and your dependents
- 401(k) with a company match of up to 3% of base salary
- A remote-friendly culture (with a San Francisco HQ) and full equipment provisioning to ensure you can work effectively from wherever you’re based.
- Parental leave to support your family needs
- Annual company-wide off-sites, team off-sites and regular team lunches and all-hands gatherings, with travel, lodging and meals covered
- Flexible time off with no annual cap, company-wide holidays and an annual holiday shutdown from December 24–January 1 designed to support real rest and long-term sustainability.
Ambience Healthcare is an equal opportunity employer and is committed to building a diverse and inclusive workplace. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, genetic information, or any other legally protected status. We encourage applicants from all backgrounds to apply.
Ambience is committed to supporting every candidate’s ability to fully participate in our hiring process. If you need any accommodations during your application or interviews, please reach out to our Recruiting team at accommodations@ambiencehealthcare.com recruiting@ambiencehealth.com. We’ll handle your request confidentially and work with you to ensure an accessible and equitable experience for all candidates.
Ambience Healthcare has become aware of scams targeting jobseekers with fake jobs and even interviewing people. Our emails will always come from @ambiencehealthcare.com. We would never our ask candidates to download apps or make any form of payment(s). If you are contacted through WhatsApp, Telegram, similar but fake email domains, or asked to make a payment, these contacts are not legitimate. Report the issue immediately to LinkedIn and the FBI https://www.fbi.gov/how-we-can-help-you/scams-and-safety.
Listed by Ambience Healthcare for a position based in the United States. Employers on this board attest they are hiring domestically.
Engineering
950 days ago
Senior Software Engineer, Product
Ambience Healthcare · San Francisco, California, United States
Here at Ambience, we never set out to be just another scribe. We’re building the AI intelligence platform that restores humanity to healthcare and drives meaningful ROI for health systems across the country.
Our technology helps providers focus on delivering great care by removing the administrative burden that pulls them away from patients and away from their most impactful work. Ambience delivers real-time coding-aware documentation and clinical workflow support across ambulatory, emergency and inpatient settings at the top health systems in North America.
Our teams operate relentlessly with extreme ownership to build the best solutions for our health system partners. We value candor, positivity and deep thought — and we expect a lot from each other because we know the problems we’re solving truly matter.
Ambience was ranked #1 for Improving the Clinician Experience in the KLAS Research Emerging Solutions Top 20 Report, recognized by Fast Company as one of the Next Big Things in Tech, named one of the best AI companies in healthcare by Inc., and selected as a LinkedIn Top Startup in 2024 and 2025. We’re backed by Oak HC/FT, Andreessen Horowitz (a16z), OpenAI Startup Fund, and Kleiner Perkins — and we’re just getting started.
The Role:
As a Senior Software Engineer on the Product team, you will design and build the features that healthcare providers interact with every single day as they care for patients. As an OpenAI portfolio company, you will be surrounded by the leading minds in AI and exposed to the latest advancements in our field.
In the first 6 months, you'll take ownership of meaningful product initiatives end-to-end — from shaping the experience with our product and design partners to shipping high-quality code that reaches clinicians in production. You'll be a key voice in how we build, ensuring we move fast without sacrificing the reliability and craftsmanship our users depend on.
Our Engineering roles are hybrid in our SF office 3x/wk.
What You’ll Do:
Design and architect major product features leveraging the latest advancements in AI to deliver a magical user experience
Anticipate system bottlenecks and proactively re-architect key system components before they create issues for our customers
Lead product initiatives with high strategic value, accelerating speed of iteration while preventing accumulation of technical debt
Hold the codebase to a high standard, and assist in developing engineering processes that encourage shipping high quality code
Who You Are:
You have a Bachelors degree and 5+ years of experience, or equivalent
You have 5+ years experience tackling challenging zero-to-one software engineering problems that have spanned multiple teams
You have a strong product instinct — you think about the end user experience, not just the technical implementation
You're comfortable moving across the stack to take projects to the finish line, with solid experience in modern web technologies and cloud infrastructure (e.g. AWS/GCP, Postgres, Docker)
You have a demonstrated ability to own execution from inception through to successful outcomes
You are a low-ego team player who prioritizes co-discovering the best ideas, even if they're not your own
You value being a kind, encouraging, and supportive teammate
You thrive in environments with high levels of complexity, uncertainty, and ambiguity
Pay Transparency We offer a base compensation range of approximately $200,000–$265,000 per year, exclusive of equity. This intentionally broad range provides flexibility for candidates to tailor their cash and equity mix based on individual preferences. Our compensation philosophy prioritizes meaningful equity grants, enabling team members to share directly in the impact they help create.
Are you outside of the range? We encourage you to still apply: we take an individualized approach to ensure that compensation accounts for all of the life factors that matter for each candidate.
Life at Ambience
Working at Ambience means opting into a high-ownership, high-trust environment built for people who want to grow fast, operate decisively and focus on work that matters. This could be the right place for you if you want to
Work on mission-critical AI technology that directly improves clinicians’ day-to-day lives and health system financial health across some of the most complex, high-stakes workflows in the world.
Join a “dream team” culture where we hire exceptional people, expect exceptional outcomes and invest deeply in feedback and continuous growth. We operate as a championship team, and that means being ok with hard, uncomfortable, ambiguous problems that lead to real greatness.
Operate with real ownership and accountability in an environment where there are no bystanders: If something is broken, we fix it! You will have meaningful autonomy and be expected to drive work to completion.
To help you do your best work, we pair these expectations with benefits intentionally designed to help you feel supported and safe at Ambience and beyond. Some of our key benefits include
Comprehensive medical, dental, and vision coverage for you and your dependents
401(k) with a company match of up to 3% of base salary
A remote-friendly culture (with a San Francisco HQ) and full equipment provisioning to ensure you can work effectively from wherever you’re based.
Parental leave to support your family needs
Annual company-wide off-sites, team off-sites and regular team lunches and all-hands gatherings, with travel, lodging and meals covered
Flexible time off with no annual cap, company-wide holidays and an annual holiday shutdown from December 24–January 1 designed to support real rest and long-term sustainability.
Ambience Healthcare is an equal opportunity employer and is committed to building a diverse and inclusive workplace. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, genetic information, or any other legally protected status. We encourage applicants from all backgrounds to apply.
Ambience is committed to supporting every candidate’s ability to fully participate in our hiring process. If you need any accommodations during your application or interviews, please reach out to our Recruiting team at accommodations@ambiencehealthcare.com. We’ll handle your request confidentially and work with you to ensure an accessible and equitable experience for all candidates.
Ambience Healthcare has become aware of scams targeting jobseekers with fake jobs and even interviewing people. Our emails will always come from @ambiencehealthcare.com. We would never our ask candidates to download apps or make any form of payment(s). If you are contacted through WhatsApp, Telegram, similar but fake email domains, or asked to make a payment, these contacts are not legitimate. Report the issue immediately to LinkedIn and the FBI.
Listed by Ambience Healthcare for a position based in the United States. Employers on this board attest they are hiring domestically.
Engineering
1313 days ago
Staff Software Engineer, Product
Ambience Healthcare · San Francisco, California, United States
Here at Ambience, we never set out to be just another scribe. We’re building the AI intelligence platform that restores humanity to healthcare and drives meaningful ROI for health systems across the country.
Our technology helps providers focus on delivering great care by removing the administrative burden that pulls them away from patients and away from their most impactful work. Ambience delivers real-time coding-aware documentation and clinical workflow support across ambulatory, emergency and inpatient settings at the top health systems in North America.
Our teams operate relentlessly with extreme ownership to build the best solutions for our health system partners. We value candor, positivity and deep thought — and we expect a lot from each other because we know the problems we’re solving truly matter.
Ambience was ranked #1 for Improving the Clinician Experience in the KLAS Research Emerging Solutions Top 20 Report, recognized by Fast Company as one of the Next Big Things in Tech, named one of the best AI companies in healthcare by Inc., and selected as a LinkedIn Top Startup in 2024 and 2025. We’re backed by Oak HC/FT, Andreessen Horowitz (a16z), OpenAI Startup Fund, and Kleiner Perkins — and we’re just getting started.
The Role:
As a Staff Software Engineer on the AI Platform team, you will design, build, and maintain the core infrastructure that empowers healthcare providers who use our platform every single day as they care for patients. As an OpenAI portfolio company, you will be surrounded by the leading minds in AI and exposed to the latest advancements in our field.
In the first 6 months, you’ll be responsible for setting up the foundations for long term success, investing in platform observability, reliability, and scalability. As a technical leader, you’ll be responsible for the entire lifecycle of major technical initiatives in our AI stack--from system design to deploying the code you've written.
Our Engineering roles are hybrid in our SF office 3x/wk.
What You’ll Do:
Design and architect major product features leveraging the latest advancements in AI to deliver a magical user experience
Anticipate system bottlenecks and proactively re-architect key system components before they create issues for our customers
Lead product initiatives with high strategic value, accelerating speed of iteration while preventing accumulation of technical debt
Hold the codebase to a high standard, and assist in developing engineering processes that encourage shipping high quality code
Who You Are:
You have a Bachelors degree and 7+ years of experience, or equivalent
7+ years of experience tackling zero-to-one engineering challenges, building and scaling systems to meet production SLAs, and navigating architectural trade-offs in distributed systems.
Proficient with modern infrastructure stacks, including cloud providers (AWS, GCP), containers (Docker), queuing systems (Kafka), and databases (Postgres), and flexible across the stack to deliver projects.
Skilled at mentoring engineers while remaining hands-on, driving quality, execution speed, and successful outcomes as a technical leader or engineering manager.
Demonstrated ability to own end-to-end execution, from concept to impactful results, with a focus on building breakthrough product experiences.
Thrives in environments of complexity and ambiguity, prioritizing collaboration and seeking the best ideas regardless of their source.
Values kindness, encouragement, and being a supportive teammate, fostering a mission-aligned and ambitious team culture.
Pay Transparency We offer a base compensation range of approximately $250,000–$300,000 per year, exclusive of equity. This intentionally broad range provides flexibility for candidates to tailor their cash and equity mix based on individual preferences. Our compensation philosophy prioritizes meaningful equity grants, enabling team members to share directly in the impact they help create.
Are you outside of the range? We encourage you to still apply: we take an individualized approach to ensure that compensation accounts for all of the life factors that matter for each candidate.
Life at Ambience
Working at Ambience means opting into a high-ownership, high-trust environment built for people who want to grow fast, operate decisively and focus on work that matters. This could be the right place for you if you want to
Work on mission-critical AI technology that directly improves clinicians’ day-to-day lives and health system financial health across some of the most complex, high-stakes workflows in the world.
Join a “dream team” culture where we hire exceptional people, expect exceptional outcomes and invest deeply in feedback and continuous growth. We operate as a championship team, and that means being ok with hard, uncomfortable, ambiguous problems that lead to real greatness.
Operate with real ownership and accountability in an environment where there are no bystanders: If something is broken, we fix it! You will have meaningful autonomy and be expected to drive work to completion.
To help you do your best work, we pair these expectations with benefits intentionally designed to help you feel supported and safe at Ambience and beyond. Some of our key benefits include
Comprehensive medical, dental, and vision coverage for you and your dependents
401(k) with a company match of up to 3% of base salary
A remote-friendly culture (with a San Francisco HQ) and full equipment provisioning to ensure you can work effectively from wherever you’re based.
Parental leave to support your family needs
Annual company-wide off-sites, team off-sites and regular team lunches and all-hands gatherings, with travel, lodging and meals covered
Flexible time off with no annual cap, company-wide holidays and an annual holiday shutdown from December 24–January 1 designed to support real rest and long-term sustainability.
Ambience Healthcare is an equal opportunity employer and is committed to building a diverse and inclusive workplace. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, genetic information, or any other legally protected status. We encourage applicants from all backgrounds to apply.
Ambience is committed to supporting every candidate’s ability to fully participate in our hiring process. If you need any accommodations during your application or interviews, please reach out to our Recruiting team at accommodations@ambiencehealthcare.com. We’ll handle your request confidentially and work with you to ensure an accessible and equitable experience for all candidates.
Ambience Healthcare has become aware of scams targeting jobseekers with fake jobs and even interviewing people. Our emails will always come from @ambiencehealthcare.com. We would never our ask candidates to download apps or make any form of payment(s). If you are contacted through WhatsApp, Telegram, similar but fake email domains, or asked to make a payment, these contacts are not legitimate. Report the issue immediately to LinkedIn and the FBI.
Listed by Ambience Healthcare for a position based in the United States. Employers on this board attest they are hiring domestically.
Engineering
1313 days ago
Staff Software Engineer, Product
Ambience Healthcare · San Francisco, California, United States
About Us:
Here at Ambience, we never set out to be just another scribe. We’re building the AI intelligence platform that restores humanity to healthcare and drives meaningful ROI for health systems across the country.
Our technology helps providers focus on delivering great care by removing the administrative burden that pulls them away from patients and away from their most impactful work. Ambience delivers real-time coding-aware documentation and clinical workflow support across ambulatory, emergency and inpatient settings at the top health systems in North America.
Our teams operate relentlessly with extreme ownership to build the best solutions for our health system partners. We value candor, positivity and deep thought — and we expect a lot from each other because we know the problems we’re solving truly matter.
Ambience was ranked #1 for Improving the Clinician Experience in the KLAS Research Emerging Solutions Top 20 Report, recognized by Fast Company as one of the Next Big Things in Tech, named one of the best AI companies in healthcare by Inc., and selected as a LinkedIn Top Startup in 2024 and 2025. We’re backed by Oak HC/FT, Andreessen Horowitz (a16z), OpenAI Startup Fund, and Kleiner Perkins — and we’re just getting started.
The Role:
As a Staff Software Engineer on the AI Platform team, you will design, build, and maintain the core infrastructure that empowers healthcare providers who use our platform every single day as they care for patients. As an OpenAI portfolio company, you will be surrounded by the leading minds in AI and exposed to the latest advancements in our field.
In the first 6 months, you’ll be responsible for setting up the foundations for long term success, investing in platform observability, reliability, and scalability. As a technical leader, you’ll be responsible for the entire lifecycle of major technical initiatives in our AI stack--from system design to deploying the code you've written.
Our Engineering roles are hybrid in our SF office 3x/wk.
What You’ll Do:
- Design and architect major product features leveraging the latest advancements in AI to deliver a magical user experience
- Anticipate system bottlenecks and proactively re-architect key system components before they create issues for our customers
- Lead product initiatives with high strategic value, accelerating speed of iteration while preventing accumulation of technical debt
- Hold the codebase to a high standard, and assist in developing engineering processes that encourage shipping high quality code
Who You Are:
- You have a Bachelors degree and 7+ years of experience, or equivalent
- 7+ years of experience tackling zero-to-one engineering challenges, building and scaling systems to meet production SLAs, and navigating architectural trade-offs in distributed systems.
- Proficient with modern infrastructure stacks, including cloud providers (AWS, GCP), containers (Docker), queuing systems (Kafka), and databases (Postgres), and flexible across the stack to deliver projects.
- Skilled at mentoring engineers while remaining hands-on, driving quality, execution speed, and successful outcomes as a technical leader or engineering manager.
- Demonstrated ability to own end-to-end execution, from concept to impactful results, with a focus on building breakthrough product experiences.
- Thrives in environments of complexity and ambiguity, prioritizing collaboration and seeking the best ideas regardless of their source.
- Values kindness, encouragement, and being a supportive teammate, fostering a mission-aligned and ambitious team culture.
Pay Transparency
We offer a base compensation range of approximately $250,000–$300,000 per year, exclusive of equity. This intentionally broad range provides flexibility for candidates to tailor their cash and equity mix based on individual preferences. Our compensation philosophy prioritizes meaningful equity grants, enabling team members to share directly in the impact they help create.
Are you outside of the range? We encourage you to still apply: we take an individualized approach to ensure that compensation accounts for all of the life factors that matter for each candidate.
Life at Ambience
Working at Ambience means opting into a high-ownership, high-trust environment built for people who want to grow fast, operate decisively and focus on work that matters. This could be the right place for you if you want to
- Work on mission-critical AI technology that directly improves clinicians’ day-to-day lives and health system financial health across some of the most complex, high-stakes workflows in the world.
- Join a “dream team” culture where we hire exceptional people, expect exceptional outcomes and invest deeply in feedback and continuous growth. We operate as a championship team, and that means being ok with hard, uncomfortable, ambiguous problems that lead to real greatness.
- Operate with real ownership and accountability in an environment where there are no bystanders: If something is broken, we fix it! You will have meaningful autonomy and be expected to drive work to completion.
To help you do your best work, we pair these expectations with benefits intentionally designed to help you feel supported and safe at Ambience and beyond. Some of our key benefits include
- Comprehensive medical, dental, and vision coverage for you and your dependents
- 401(k) with a company match of up to 3% of base salary
- A remote-friendly culture (with a San Francisco HQ) and full equipment provisioning to ensure you can work effectively from wherever you’re based.
- Parental leave to support your family needs
- Annual company-wide off-sites, team off-sites and regular team lunches and all-hands gatherings, with travel, lodging and meals covered
- Flexible time off with no annual cap, company-wide holidays and an annual holiday shutdown from December 24–January 1 designed to support real rest and long-term sustainability.
Ambience Healthcare is an equal opportunity employer and is committed to building a diverse and inclusive workplace. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, genetic information, or any other legally protected status. We encourage applicants from all backgrounds to apply.
Ambience is committed to supporting every candidate’s ability to fully participate in our hiring process. If you need any accommodations during your application or interviews, please reach out to our Recruiting team at accommodations@ambiencehealthcare.com recruiting@ambiencehealth.com. We’ll handle your request confidentially and work with you to ensure an accessible and equitable experience for all candidates.
Ambience Healthcare has become aware of scams targeting jobseekers with fake jobs and even interviewing people. Our emails will always come from @ambiencehealthcare.com. We would never our ask candidates to download apps or make any form of payment(s). If you are contacted through WhatsApp, Telegram, similar but fake email domains, or asked to make a payment, these contacts are not legitimate. Report the issue immediately to LinkedIn and the FBI https://www.fbi.gov/how-we-can-help-you/scams-and-safety.
Listed by Ambience Healthcare for a position based in the United States. Employers on this board attest they are hiring domestically.
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